Provider Demographics
NPI:1003887514
Name:WRIGHT, ERINN (MD)
Entity Type:Individual
Prefix:
First Name:ERINN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1278 ROOSEVELT TRL
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:ME
Mailing Address - Zip Code:04071-6604
Mailing Address - Country:US
Mailing Address - Phone:207-655-6181
Mailing Address - Fax:207-655-6188
Practice Address - Street 1:1278 ROOSEVELT TRL
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:ME
Practice Address - Zip Code:04071-6604
Practice Address - Country:US
Practice Address - Phone:207-655-6181
Practice Address - Fax:207-655-6188
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD15310207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM8616Medicare UPIN
MEMM8616Medicare ID - Type Unspecified